LISA WILSON
NPI 1043718471
Radiology - Diagnostic Ultrasound in Lilburn, GA

Active since January 31, 2018
950 INDIAN TRAIL LILBURN RD NW STE 5D, LILBURN, GA 30047(470) 545-2131 Get Directions Write a Review

NPPES record last updated: February 13, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lisa Wilson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LISA WILSON (NPI 1043718471) is an individual diagnostic ultrasound provider in Lilburn, Georgia, licensed in Georgia (58124) and active in the NPI registry since January 2018.

NPPES Registry Identity

NPI1043718471
Entity TypeIndividualFemale
Primary Taxonomy2085U0001X
Provider Legal NameLISA WILSON
Location Address950 INDIAN TRAIL LILBURN RD NW STE 5DLilburn, GA 30047-6870
Mailing Address950 Indian Trail Lilburn Rd Nw Ste 5dLilburn, GA 30047-6870 · (470) 545-2131
Sole ProprietorNo
Enumeration DateJanuary 31, 2018
Last NPPES UpdateFebruary 13, 2024
NPPES CertifiedFebruary 13, 2024
NPI 1043718471 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic UltrasoundAllopathic & Osteopathic Physicians
Taxonomy Code2085U0001X
License Licensed in GA · 58124
Definition
A Radiology doctor of Osteopathy that specializes in Diagnostic Ultrasound.
950 INDIAN TRAIL LILBURN RD NW STE 5D, Lilburn, GA 30047

Other Identifiers 1

Other58124GA · Registry

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Obstetrics & Gynecology)
950 INDIAN TRAIL LILBURN RD NW STE 5D
LILBURN, GA 30047

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lisa Wilson's NPI number?

The NPI number for Lisa Wilson is 1043718471. It was assigned to this individual provider in the NPPES registry on January 31, 2018.

Where is Lisa Wilson located?

Lisa Wilson practices at 950 Indian Trail Lilburn Rd NW Ste 5D, Lilburn, GA 30047. The listed phone number is (470) 545-2131.

What is Lisa Wilson's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Ultrasound, with taxonomy code 2085U0001X.

When was this NPI record last updated?

The NPPES record for Lisa Wilson was last updated on February 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.